Active NPIOrganization

A Gold Coast Foot Clinic, LTD.

Podiatrist, Foot & Ankle Surgery in Chicago, Illinois

NPI Number1427219500
Practice location
845 N Michigan Ave, 915W, Chicago, IL 60611-2252
Fax
312-494-9110
Last updated
November 24, 2008

A Gold Coast Foot Clinic, LTD. is a healthcare organization based in Chicago, IL. A Gold Coast Foot Clinic, LTD. practices in Chicago, IL. The NPI Number for A Gold Coast Foot Clinic, LTD. is 1427219500 and holds a License No. 016-004014 (IL). The current practice location address for A Gold Coast Foot Clinic, LTD. is 845 N Michigan Ave, 915W, Chicago, IL 60611-2252 and can be reached out via phone at 312-266-7404 and via fax at 312-494-9110.

Provider Profile Details

NPI Number
1427219500
Provider Name
A Gold Coast Foot Clinic, LTD.
Provider Entity Type
Organization
Address
845 N Michigan Ave, 915W, Chicago, IL 60611-2252
Phone Number
312-266-7404
Fax Number
312-494-9110
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Richard C Bennett, DPM · President · 312-266-7404
Provider Enumeration Date
June 20, 2008
Last Update Date
November 24, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
845 N Michigan Ave
915W
Chicago, IL 60611-2252
Zip
60611-2252
Phone Number
312-266-7404
Fax Number
312-494-9110
Chicago, IL 60611Get directions →

Provider Business Mailing Address Details

Address
845 N Michigan Ave
915W
Chicago, IL 60611-2252
City
Chicago
State
IL
Zip
60611-2252
Phone Number
312-266-7404
Fax Number
312-494-9110

License Information

License Number
016-004014
License State
IL
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of A Gold Coast Foot Clinic, LTD.?

The NPI number of A Gold Coast Foot Clinic, LTD. is 1427219500. It was assigned on June 20, 2008 and is currently active in the NPPES registry.

What is the specialty of A Gold Coast Foot Clinic, LTD.?

A Gold Coast Foot Clinic, LTD. is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in IL under license number 016-004014.

Where does A Gold Coast Foot Clinic, LTD. practice?

The practice location is 845 N Michigan Ave, 915W, Chicago, IL 60611-2252. The office can be reached at 312-266-7404 (phone) or 312-494-9110 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427219500 directly on the NPPES registry website.

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